Bass, Kristy

Bass, Kristy is an individual health care provider with primary practice located at 1278 N Lafayette Dr , Sumter SC 29150-2964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bass, Kristy can be contacted via phone (803) 774-4500.

Contact Information

Primary practice address
1278 N Lafayette Dr Sumter SC 29150-2964
Phone: (803) 774-4500
Fax: (803) 774-4626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4072 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18516 South Carolina

Profile Details

NPI number 1184905283
LBN Legal business name Bass, Kristy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184905283 NPPES
South Carolina MEDICAID NP2747

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